Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $2,818.38 / $7,762.47	Facility		$81.28	$2,818.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $162.18 / $338.84	Professional		$43.65	$162.18	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $501.19	Professional		$134.90	$173.78	$501.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $4,073.80	Facility		$72.44	$72.44	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $295.12	Professional		$72.44	$72.44	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $53,703.18	Facility		$34.67	$83.18	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $223.87 / $724.44	Professional		$60.26	$223.87	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $64.57 / $162.18	Facility		$48.98	$64.57	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $371.54	Professional		$194.98	$257.04	$371.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $398.11	Professional		$158.49	$239.88	$398.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $50,118.72 / $75,857.76	Facility		$56.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $489.78	Professional		$239.88	$288.40	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $131.83 / $398.11	Professional		$36.31	$131.83	$398.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $79.43	Facility		$39.81	$52.48	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $380.19	Professional		$87.10	$186.21	$380.19